| NPI | 1174042337 |
|---|---|
| Former Legal Business Name | LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC |
| Entity Type | Organization |
| Authorized Contact | ALEX BARKER President 508-830-2006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2025-04-04 |